| NPI | 1689733792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEVON Z HICKS Director 302-377-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-06-07 |